Publications by authors named "Mushtaq S"

Cardiac masses encompass a diverse range of benign and malignant tumors as well as pseudotumors. Accurate histologic identification is essential for guiding appropriate treatment, yet the diagnostic process remains challenging. Although biopsy is traditionally the diagnostic gold standard, its invasive nature and associated risks limit its application.

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This study aimed to compare the inhibitory effect of flunixin meglumine and meloxicam on the smooth muscles of the gastrointestinal tract in male cattle. Tissue samples, including the abomasum, ileum, proximal loop and centripetal gyri of the ascending colon, were collected from routinely slaughtered male cattle. These samples were sectioned into strips and mounted in an isolated tissue bath system.

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Aim: Computed tomography (CT)-derived extracellular volume fraction (ECV) is a non-invasive method to quantify myocardial fibrosis. Evaluating CT-ECV during aortic valve replacement (AVR) planning CT in severe aortic stenosis (AS) may aid prognostic stratification. This meta-analysis evaluated the prognostic significance of CT-ECV in severe AS necessitating AVR.

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  • Climate change impacts psychological well-being alongside physical infrastructure, with floods causing significant disruptions to communities and forcing people to relocate.
  • Major disasters, like the 2022 floods in Pakistan, are correlated with increased anxiety among displaced individuals, highlighting the urgent need for understanding this connection.
  • Vulnerable populations, including low-income communities, older adults, and children, face heightened stress during natural disasters, making them more susceptible to the negative effects of climate-related events.
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Background The detection of in-stent restenosis (ISR) with coronary CT angiography (CCTA) is challenging, but CT perfusion (CTP) has demonstrated improved diagnostic accuracy over CCTA in patients with stents. However, there are limited data on the performance of dynamic CTP, which allows noninvasive adjudication of regional myocardial blood flow. Purpose To compare the diagnostic performance of regadenoson-stress dynamic CTP with that of CCTA, using fractional flow reserve (FFR) and the index of microvascular resistance (IMR) as reference standards for epicardial coronary circulation and coronary microcirculation, respectively.

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  • Background: Antibiotic resistance in urinary infections is a significant issue, especially for infections that spread beyond the bladder. New oral combinations of β-lactamase inhibitors, such as ceftibuten/avibactam, are being developed and show promise against resistant strains.
  • Methods: The study involved experimenting with various Enterobacterales strains to identify mutants that could resist treatment. Researchers evaluated the minimum inhibitory concentrations (MICs) and performed whole genome sequencing on selected mutants.
  • Results: The study found a low rate of mutants developing resistance, with notable mutants emerging primarily from KPC and AmpC enzymes. Significantly, E. coli showed mutations related to penicillin-binding proteins, suggesting a specific adaptation to ceft
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Background And Aim: Endoscopic retrograde cholangiopancreatography (ERCP) is commonly used to diagnose and treat bile duct and pancreatic disorders. Successful cannulation of the papilla is crucial for the effectiveness of ERCP; however, sometimes, it can be challenging to achieve. This study explores the relationship between net difficult ERCP cannulation with bile visibility, papilla orifice visibility, and papilla position and compares it with successful cannulation.

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  • Liposarcoma of the uterine corpus is an extremely rare tumor with distinctive characteristics and treatment difficulties, as shown in a case study of a 57-year-old woman.
  • The patient initially had surgery and chemotherapy after presenting with severe abdominal issues, but faced multiple recurrences over the following years, including a more aggressive form of the tumor.
  • This case emphasizes the need for careful monitoring and individualized treatment plans to tackle the aggressive behavior of recurrent liposarcoma, particularly when it transforms into a dedifferentiated form.
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  • * High-resolution CT scans showed ground-glass opacities and indicated a potential overlap of nonspecific interstitial pneumonia and organizing pneumonia, while ruling out pulmonary embolism.
  • * Treatment with pulse-dose methylprednisolone and tacrolimus resulted in significant clinical improvement, emphasizing the need for prompt diagnosis and team-based management in conditions like antisynthetase syndrome.
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  • - The study focused on anemia management in chronic kidney disease (CKD) patients in Pakistan, highlighting that 78.7% of CKD and 94.7% of dialysis patients experienced anemia, which significantly affects their quality of life (QoL).
  • - A total of 170 patients participated, showing that while dialysis patients had higher usage of erythropoietin stimulating agents (ESAs), both groups faced a substantial treatment burden, which was linked to age, disease duration, and comorbidity.
  • - The results indicated that many patients didn’t reach target hemoglobin levels after six months, suggesting inadequate management of anemia and illustrating a negative relationship between treatment burden and QoL for those undergoing dialysis.
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Aims: While factors associated with adverse events are well elucidated in setting of isolated left ventricular dysfunction, clinical and imaging-based prognosticators of adverse outcomes are lacking in context of biventricular dysfunction. The purpose of this study was to establish role of clinical variables in prognosis of biventricular heart failure (HF), as assessed by cardiac magnetic resonance imaging.

Methods: Study cohort consisted of 840 patients enrolled in DERIVATE registry with coexisting CMR-derived right ventricular (RV) and left ventricular (LV) dysfunction, as defined by RV and LV ejection fractions ≤45 % and ≤ 50 %, respectively.

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Pulses are essential components of vegetarian diet and play a pivotal role in addressing malnutrition by providing a vital source of dietary protein. However, weed competition remains as a significant obstacle to blackgram (Vigna mungo L) production, resulting in 25 to 35% yield losses. A field experiment was carried out at the National Pulses Research Centre, Tamil Nadu Agricultural University, Vamban, Pudukkottai, India during Kharif seasons of 2020 and 2021, to assess the suitable post-emergence herbicides for appropriate weed control in blackgram grown under irrigated conditions.

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Objectives: Trauma registries are essential tools for improving trauma care quality and efficiency, but many fail to capture long-term patient-reported outcome measures (PROMs). Focusing on these outcomes is crucial for understanding the extent of disability patients experience and identifying potential post-discharge interventions to optimize recovery. Studies reflecting the experience from low- and middle-income countries in this area are limited.

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Hepatocellular carcinoma (HCC) is the most common primary liver malignant neoplasm. Multiple risk factors have been identified for several decades for this overly aggressive tumor. HCC is an overly aggressive malignancy with frequent intrahepatic and extrahepatic metastasis.

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Cardiac amyloidosis (CA) is a cardiac storage disease caused by the progressive extracellular deposition of misfolded proteins in the myocardium. Despite the increasing interest in this pathology, it remains an underdiagnosed condition. Non-invasive diagnostic techniques play a central role in the suspicion and detection of CA, also thanks to the continuous scientific and technological advances in these tools.

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  • - The study investigated BK polyomavirus infection in organ transplant recipients, focusing on its prevalence and implications for kidney transplant recipients experiencing BK virus-associated nephropathy (BKVAN).
  • - Conducted over a year with 108 renal transplant patients, the study found that 16.7% had detectable BK viruria, particularly in females and those aged 41-60, mostly occurring 7-9 months post-transplant.
  • - Notable correlations were observed between age, gender, and viral load, with older recipients showing higher viral levels, emphasizing the need for regular screening and potential immunosuppression adjustments.
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The present investigation evaluates three satellite precipitation products (SPPs), Multi-Source Weighted-Ensemble Precipitation (MSWEP), Global Precipitation Climatology Centre (GPCC), Climate Hazard Infrared Precipitation with Station Data (CHIRPS), and two reanalysis datasets, namely, the ERA5 atmosphere reanalysis dataset (ERA5) and Indian Monsoon Data Assimilation and Analysis (IMDAA), against the good quality gridded reference dataset (1991-2022) developed by the India Meteorological Department (IMD). The evaluation was carried out in terms of the rainfall detection ability and estimation accuracy of the products using metrics such as the false alarm ratio (FAR), probability of detection (POD), misses, root mean square error (RMSE), and percent bias (PBIAS). Among all the rainfall products, ERA5 had the best ability to capture rainfall events with a higher POD, followed by MSWEP.

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Birds are known to act as the parasite reservoir and can transmit them to other organisms through food chains. This study aims to report the molecular prevalence and phylogenetic evaluation of various blood borne pathogens (Toxoplasma gondii, Isospora spp., Plasmodium spp.

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  • Myocardial blood flow (MBF) and myocardial perfusion reserve (MPR) from stress cardiovascular magnetic resonance (CMR) effectively identify obstructive coronary artery disease (obCAD) and may outperform conventional qualitative assessments by experienced physicians.
  • In a study of 127 individuals, lower global sMBF and MPR were observed in patients with obCAD compared to those without, indicating a significant correlation with disease presence.
  • The statistical analysis showed that the area under the curve (AUC) for quantitative sMBF and MPR was at 0.90 and 0.86, respectively, which is higher than the AUCs ranging from 0.69 to 0.88 found in traditional qualitative assessments
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Background: Insulin resistance (IR) is a common pathology in women with polycystic ovarian syndrome (PCOS) involved in increased rates of cardiometabolic disease such as diabetes and cardiovascular disease. Low serum vitamin D is often associated with insulin resistance but there is no consensus on whether vitamin D supplementation can ameliorate markers of IR in PCOS.

Objectives: We assessed evidence on the effects of vitamin D supplementation (≥ 1000 IU/day), without the use of additional supplements or other pharmacological treatments known to affect IR, on markers of IR and glycemic control in women with PCOS.

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Background: Hypertrophic cardiomyopathy (HCM) is the most common inherited cardiovascular disease that affects approximately one in 500 people. Cardiac magnetic resonance (CMR) imaging has emerged as a powerful tool for the non-invasive assessment of HCM. CMR can accurately quantify the extent and distribution of hypertrophy, assess the presence and severity of myocardial fibrosis, and detect associated abnormalities.

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Background And Objective: Invasive fractional flow reserve (FFR) measurement is the gold standard method for coronary artery disease (CAD) diagnosis. FFR-CT exploits computational fluid dynamics (CFD) for non-invasive evaluation of FFR, simulating coronary flow in virtual geometries reconstructed from computed tomography (CT), but suffers from cost-intensive computing process and uncertainties in the definition of patient specific boundary conditions (BCs). In this work, we investigated the use of time-averaged steady BCs, compared to pulsatile to reduce the computational time and deployed a self-adjusting method for the tuning of BCs to patient-specific clinical data.

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  • Scientists are working hard to create a vaccine for hepatitis C, a virus that still affects many people worldwide despite better treatments.!
  • The paper talks about different types of vaccine approaches, like using inactivated virus or newer methods like DNA and mRNA, to find the best way to prevent infection.!
  • Developing a safe and effective vaccine is challenging because the virus can change a lot and trick the immune system, but there’s hope with new technologies and research progress.!
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